CPT Code 90791

Data Updated for Q4 2018

CPT Code: 90791

Description: Psychiatric diagnostic evaluation

Status Code

A
Active Code. These codes are paid separately under the physician fee schedule, if covered. There will be RVUs for codes with this status. The presence of an “A” indicator does not mean that Medicare has made a nation


Global Days

XXX
The global concept does not apply to the code.


Medicare RUVs and Fees

Work RVU – 3.00
Malpractice RVU – 0.11
Facility RVU – 0.45
Non-Facility RVU – 0.68
Facility Total RVU – 3.56
Non-Facility Total RVU – 3.79

Medicare National Facility Total Payment – $128.16
Medicare National Non-Facility Total Payment – $136.44


Bundling Information

Includes

0359T, 0360T, 0361T, 0362T, 0363T, 0364T, 0365T, 0366T, 0367T, 0368T, 0369T, 0370T, 0371T, 0372T, 0373T, 0374T, 0405T, 36591, 36592, 90832, 90833, 90834, 90836, 90837, 90838, 90839, 90840, 90845, 90846, 90847, 90849, 90853, 90863, 90865, 90867, 90868, 90869, 90870, 90875, 90876, 90880, 90882, 90885, 90887, 90889, 96116, 96127, 96150, 96151, 96152, 96153, 96154, 96155, 96160, 96161, 97802, 97803, 97804, 99184, 99201, 99202, 99203, 99204, 99205, 99211, 99212, 99213, 99214, 99215, 99217, 99218, 99219, 99220, 99221, 99222, 99223, 99224, 99225, 99226, 99231, 99232, 99233, 99234, 99235, 99236, 99238, 99239, 99241, 99242, 99243, 99244, 99245, 99251, 99252, 99253, 99254, 99255, 99281, 99282, 99283, 99284, 99285, 99288, 99291, 99292, 99304, 99305, 99306, 99307, 99308, 99309, 99310, 99315, 99316, 99318, 99324, 99325, 99326, 99327, 99328, 99334, 99335, 99336, 99337, 99339, 99340, 99341, 99342, 99343, 99344, 99345, 99347, 99348, 99349, 99350, 99354, 99355, 99356, 99357, 99358, 99359, 99360, 99363, 99364, 99366, 99367, 99368, 99374, 99375, 99377, 99378, 99379, 99380, 99381, 99382, 99383, 99384, 99385, 99386, 99387, 99391, 99392, 99393, 99394, 99395, 99396, 99397, 99401, 99402, 99403, 99404, 99406, 99407, 99408, 99409, 99411, 99412, 99415, 99416, 99420, 99441, 99442, 99443, 99444, 99446, 99447, 99448, 99449, 99450, 99455, 99456, 99460, 99461, 99462, 99463, 99464, 99465, 99466, 99467, 99468, 99469, 99471, 99472, 99475, 99476, 99477, 99478, 99479, 99480, 99481, 99482, 99485, 99486, 99487, 99488, 99489, 99490, 99495, 99496, 99497, 99497, 99605, 99606, G0270, G0271, G0380, G0381, G0382, G0383, G0384, G0396, G0397, G0406, G0407, G0408, G0425, G0426, G0427, G0442, G0443, G0444, G0445, G0446, G0447, G0459, G0463, G0473, G0505, G0506, G0508, G0509, M0064


Included In

90792, 90832, 90833, 90834, 90836, 90837, 90838, 90845, 90849, 90865, 90870, 90880, 96111, 99483, G0402, G0438, G0439


Mutually Exclusive

G0409, G0410, G0411


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CPT Code Description
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90736 Zoster (shingles) vaccine (HZV), live, for subcutaneous injection
90738 Japanese encephalitis virus vaccine, inactivated, for intramuscular use
90739 Hepatitis B vaccine (HepB), adult dosage, 2 dose schedule, for intramuscular use
90740 Hepatitis B vaccine (HepB), dialysis or immunosuppressed patient dosage, 3 dose schedule, for intramuscular use
90743 Hepatitis B vaccine (HepB), adolescent, 2 dose schedule, for intramuscular use
90744 Hepatitis B vaccine (HepB), pediatric/adolescent dosage, 3 dose schedule, for intramuscular use
90746 Hepatitis B vaccine (HepB), adult dosage, 3 dose schedule, for intramuscular use
90747 Hepatitis B vaccine (HepB), dialysis or immunosuppressed patient dosage, 4 dose schedule, for intramuscular use
90748 Hepatitis B and Haemophilus influenzae type b vaccine (Hib-HepB), for intramuscular use
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90756 Influenza virus vaccine, quadrivalent (ccIIV4), derived from cell cultures, subunit, antibiotic free, 0.5 mL dosage, for intramuscular use
90785 Interactive complexity (List separately in addition to the code for primary procedure)
90791 Psychiatric diagnostic evaluation
90792 Psychiatric diagnostic evaluation with medical services